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| Inspection Nr | 120306782 |
| Investigation Nr | 201032679 |
| Line Nr | 1 |
| Age | |
| Sex | |
| Nature of Injury | Burn/Scald(Heat) |
| Part of Body | Lung |
| Source of Injury | Elec Apparat/Wiring |
| Event Type | Inhalation |
| Environmental Factor | Temperature +/- Tolerance Lev. |
| Human Factor | Insuf/Lack/Protcv Wrk Clthg/Equip |
| Occupation | Occupation not reported |
| Degree of Injury | Fatality |
| Task Assigned | Task not regularly assigned |
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